| NPI | 1528829009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0036915) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 424706) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-07-02 |