| NPI | 1285975987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0037662) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 431041) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2024-10-21 |