| NPI | 1568939742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH OH) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH 414371) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2023-06-02 |