| NPI | 1780355503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH 0031189) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 398405) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2023-12-13 |