| NPI | 1609218585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0035065) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.147070-M-IV) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2024-02-29 |