| NPI | 1992492656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.0036137) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: OH 450799) |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: OH 450799) | |
| 163W00000X Registered Nurse (Licence: OH 450799) | |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2024-06-09 |