| NPI | 1457585234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 28264) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.335652) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0033630) | |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2024-03-12 |