| NPI | 1902604572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.0040039) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 532537) |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-08-26 |