| NPI | 1902255565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.020623) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 415458) |
| Enumeration Date | 2016-06-05 |
| Last Update Date | 2023-12-20 |