| NPI | 1649795790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0028985) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.397217) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2021-12-10 |