| NPI | 1114559036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R250262) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.026720) |
| 363LF0000X Nurse Practitioner Family (Licence: OH 416133) | |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2023-08-21 |