| NPI | 1295303386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0027696) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704393156APP22) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0027696) | |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: OH 0027696) | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2024-09-12 |