| NPI | 1285300491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.023401) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.332542) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023401) | |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2024-05-10 |