| NPI | 1760660112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 2020011235) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN338197) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2020-07-07 |