| NPI | 1689161002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH 022585) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH 022585) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2024-03-08 |