| NPI | 1083394134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0038170) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN497199) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2025-02-03 |