| NPI | 1982138277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0029373) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.383343) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2022-06-28 |