| NPI | 1356234918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: OH aprn.cnp.0036755) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036755) |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-07-08 |