| NPI | 1588808364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH RN.345779) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA. 19101-NP) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2024-01-26 |