| NPI | 1104348499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.021170) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH CNP.021170) |
| Enumeration Date | 2017-07-09 |
| Last Update Date | 2022-10-26 |