| NPI | 1669911152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.024971) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.355509) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2019-07-15 |