| NPI | 1962177766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH RN.376028) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.376028) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0028131) | |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2025-09-10 |