| NPI | 1972967776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0039245) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MI 4704267758) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2026-02-06 |