| NPI | 1912891854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0039412) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.430748) |
| Enumeration Date | 2025-06-05 |
| Last Update Date | 2025-06-25 |