| NPI | 1316452253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.026361) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: OH RP277614) |
| 363LF0000X Nurse Practitioner Family (Licence: OH CNP.026361) | |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2024-09-15 |