| NPI | 1295298792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0033956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.407857) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2023-06-08 |