| NPI | 1568171486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0034369) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH 501152) |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2023-07-18 |