| NPI | 1902002587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0029790) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 332236) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2022-10-18 |