| NPI | 1669060083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0029431) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.397353) |
| 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric (Licence: OH CNP0029431) | |
| Enumeration Date | 2021-01-03 |
| Last Update Date | 2024-01-29 |