| NPI | 1649921123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 0031591) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH 296873) |
| 363L00000X Nurse Practitioner (Licence: KY 3017937) | |
| Enumeration Date | 2022-01-15 |
| Last Update Date | 2024-07-31 |