| NPI | 1962174656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0029991) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 349717) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 0029991) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OH 0029991) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 0029991) | |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2025-08-05 |