| NPI | 1235807744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0032741) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.423610) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.423610) | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2023-10-30 |