| NPI | 1861207029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH CNP.0038702) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: OH RN447780) |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-20 |