NPI | 1023774023 |
---|---|
Former Name | VALERIE EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 2022091979) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.452112) |
Enumeration Date | 2021-11-14 |
Last Update Date | 2023-10-02 |