| NPI | 1891362349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0040235) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: OH 422744) |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2025-11-03 |