| NPI | 1134789910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0035345) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 396963) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2024-05-15 |