| NPI | 1275905036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.17501) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11002291) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2026-07-30 |