| NPI | 1659023273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH 0031610) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 459997) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-06-27 |