| NPI | 1730118613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0033846) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.336192) |
| 163W00000X Registered Nurse (Licence: FL RN.9470948) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2024-07-03 |