| NPI | 1568880052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH 0032443) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH 2022060501) |
| 164W00000X Licensed Practical Nurse (Licence: OH PN138176-M-IV) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2023-08-03 |