| NPI | 1710613930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.003151) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: OH RN.457457) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: HI APRN-3975-0) | |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2025-04-09 |