| NPI | 1942830393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH 0029049) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: OH 386603) |
| 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: OH 386603) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: OH 386603) | |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2024-08-20 |