| NPI | 1114564242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.026365) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH 452248) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2023-11-06 |