| NPI | 1295005387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0035624) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN137814) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2024-01-14 |