NPI | 1023248465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0032558) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: OH RN320561) |
163WH0200X Registered Nurse, Home Health (Licence: OH RN320561) | |
Enumeration Date | 2009-07-20 |
Last Update Date | 2023-11-07 |