| NPI | 1962175182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.525709) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.525709) |
| 164W00000X Licensed Practical Nurse (Licence: OH LPN.179368.MEDS-IV) | |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2024-10-30 |