| NPI | 1487460614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0038300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.417486) |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2024-12-18 |