| NPI | 1558993378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.021512) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: OH RN.396624) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH Aprn.cnp.021512) | |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2022-10-18 |