| NPI | 1174994693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.18153) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18153-NP) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2023-06-01 |