| NPI | 1740779651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRNCNP022910) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.402687) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2020-10-29 |