| NPI | 1205509452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0030416) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.456245) |
| Enumeration Date | 2021-07-25 |
| Last Update Date | 2022-02-21 |