| NPI | 1811476914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 2022095185) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 444441) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0029722) | |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2023-02-03 |