| NPI | 1497420731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0031966) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.403527) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2022-10-12 |