| NPI | 1215718291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH CNP.0038179) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.501958) |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2024-12-02 |