| NPI | 1831620566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH LE-00055611) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.424814) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2026-01-05 |