| NPI | 1477116622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH 1477116622) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: OH RN.455369) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024189930) | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2024-05-13 |