| NPI | 1720426356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 2015006538) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14532-NP) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2023-12-19 |