| NPI | 1225466469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH RN328025) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN328025) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.19043NP) | |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2023-11-27 |