| NPI | 1558084566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH 0032431) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 411815) |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2023-11-06 |