| NPI | 1508555335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0034077) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.500945) |
| 227900000X Respiratory Therapist, Registered (Licence: OH RCP.15293) | |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-07-11 |