| NPI | 1346865672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH cnp.0031103) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11007077) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11007077) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH CNP.0031103) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11007077) | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2024-04-04 |