| NPI | 1790110443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 2024028452) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH NP-117004-MEDS) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2024-08-26 |