| NPI | 1679968366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.0036933) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.408831) |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: OH RN.408831) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2024-07-27 |