| NPI | 1831302264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 2019076475) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.303252) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 2012017792) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2024-01-30 |