| NPI | 1104439553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0027363) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.416544) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027363) | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2025-08-20 |