| NPI | 1679032163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH APRNCNP0234) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.023469) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5011542) | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2024-03-20 |