| NPI | 1750813853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH RN.277951) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.020734) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2021-12-09 |