| NPI | 1235700881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH LE-00037106) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: OH MM6591437) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2024-12-03 |