| NPI | 1245378843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: OH RN. 248359) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 2021031183) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2022-01-10 |