| NPI | 1659972677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH APRN.CNP.0027703) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0027703) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |