| NPI | 1093393480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0032805) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 472502) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0032805) | |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2024-12-10 |