| NPI | 1124915376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0038678) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.457554) |
| Enumeration Date | 2025-06-20 |
| Last Update Date | 2025-06-20 |