| NPI | 1093608994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0039497) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.482151) |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-06-16 |