| NPI | 1942725130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0032857) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 442583) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2023-02-01 |