| NPI | 1184376758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0030629) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH DC-01647) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2024-01-03 |