| NPI | 1932964467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0036833) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.439083) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 272666) | |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-09-27 |