| NPI | 1811534282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0043523) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.435846) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.435846) | |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2026-10-06 |