| NPI | 1679185441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0033441) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH 414658) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH 414658) | |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2023-03-17 |