| NPI | 1184062671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH RN.410281) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH pn 139813-m-iv) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2024-07-02 |