| NPI | 1235783390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN-021590) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN-02159) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH F0316642) | |
| Enumeration Date | 2019-07-27 |
| Last Update Date | 2022-07-12 |