| NPI | 1407582125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.0034194) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.356291) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2023-06-27 |