| NPI | 1942660568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0032636) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 396286) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2024-06-26 |