| NPI | 1093130403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.026622) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.389741) |
| 207Q00000X Family Medicine (Licence: OH 026622) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026622) | |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2022-07-15 |