| NPI | 1083005060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0032920) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.367650) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH 0032920) | |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2023-10-16 |