| NPI | 1306214101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH COA.18097-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185776) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18097-NP) | |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2024-09-14 |