| NPI | 1821782004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH 0034243) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.319562) |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-06-27 |