| NPI | 1316703663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0035921) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH RN.371676) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |