| NPI | 1760902092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH 0036665) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.334794) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2025-03-11 |