| NPI | 1164013843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.0030746) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: APRN.CNP.0030746) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2023-02-15 |