| NPI | 1710648480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0030582) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 0030582) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH LE-00039674) | |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2023-01-09 |