| NPI | 1205362951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0035954) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.449884) |
| 164W00000X Licensed Practical Nurse (Licence: OH 164785.MEDS-IV) | |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2024-03-14 |