| NPI | 1619869229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0040937) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.500037) |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2026-01-05 |