| NPI | 1356971824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH RN.382670) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.368487) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2021-04-01 |