| NPI | 1770108698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0026854) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: OH 0026854) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 0026854) | |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2022-09-21 |