| NPI | 1578083960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 020995) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 020995) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2025-09-03 |