| NPI | 1992553663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0040192) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.444983) |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2026-01-02 |