| NPI | 1457589996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH LE-00020543) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 348086) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2024-10-10 |