| NPI | 1821650193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0029179) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.317709) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0029179) | |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2021-09-29 |