| NPI | 1336959873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0040107) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.508250) |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-10-01 |