| NPI | 1629563176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0029334) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 240998) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2021-09-10 |