| NPI | 1275206039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0031831) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.384208) |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2024-02-22 |