| NPI | 1891303046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0033191) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.430793) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2025-02-06 |