| NPI | 1477889822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.18434) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 314-300) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: OH COA 18434) | |
| 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.18434) | |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2025-05-07 |