| NPI | 1942832597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0033118) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.432467) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2023-01-26 |