| NPI | 1215681523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0037636) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: OH RN.429737) |
| Enumeration Date | 2022-02-06 |
| Last Update Date | 2024-11-19 |