| NPI | 1992477707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0030371) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.338135) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH LE-00039236) | |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2021-12-01 |