| NPI | 1831783497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.0034650) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.448087) |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2024-04-17 |