| NPI | 1245754068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5022273) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.531096) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2025-09-08 |