| NPI | 1962186957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0035482) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.457027) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2024-04-12 |