| NPI | 1104277300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH CNP022719) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 365047) |
| 163WC1500X Registered Nurse Community Health (Licence: OH 365047) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OH 2022005177) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2022-08-11 |