| NPI | 1437747185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0028687) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.465268) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-04-09 |