| NPI | 1598055246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0037450) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 361937) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2024-11-11 |