| NPI | 1316745987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.531084) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704427930NSA250EC) |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-06-04 |