| NPI | 1538434816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.023369) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023369) |
| 163W00000X Registered Nurse (Licence: OH RN.378816) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2022-02-04 |