| NPI | 1457877409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0043455) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.513689) |
| 163W00000X Registered Nurse (Licence: OH RN.513689) | |
| 164W00000X Licensed Practical Nurse (Licence: OH LPN.167322.MEDS-IV) | |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2026-09-30 |