| NPI | 1144967894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.529443) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.181380.MEDS-IV) |
| Enumeration Date | 2022-05-15 |
| Last Update Date | 2024-05-16 |