| NPI | 1396252219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 21565) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH LE-00022029) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH aprn.cnp.o22299) | |
| Enumeration Date | 2017-12-30 |
| Last Update Date | 2024-03-17 |