| NPI | 1538785431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0030107) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.471994) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2021-12-15 |