| NPI | 1609325851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.023582) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN367205) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2019-07-03 |