| NPI | 1760255921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 0034321) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: OH aprn.cnp.0034321) |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2025-04-17 |