| NPI | 1447969332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0032808) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: OH APRN.CNP.0032808) |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2023-11-06 |