| NPI | 1649736984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.026520) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.409629) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2023-08-15 |