| NPI | 1871847558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0033029) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 363810) |
| 163WH0200X Registered Nurse, Home Health (Licence: OH 363810) | |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2024-06-10 |