| NPI | 1750976858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0028746) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 372815) |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-08-27 |