| NPI | 1972267110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0032939) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.359489) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2026-07-13 |