| NPI | 1629374954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0042166) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH 365281) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2026-05-16 |