NPI | 1003477506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.02) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN180645) |
Enumeration Date | 2019-06-25 |
Last Update Date | 2019-09-30 |