| NPI | 1417421629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH CNP.0033707) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.457145) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2023-04-25 |