| NPI | 1790251114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: OH APRN.CNP.023960) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 2018072145) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023960) | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2020-01-06 |