| NPI | 1518192129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0035450) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.373372) |
| 164W00000X Licensed Practical Nurse (Licence: OH PN128658) | |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2024-01-17 |