| NPI | 1285227223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0039898) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.402097) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH 402097) | |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2025-07-31 |