NPI | 1033720289 |
---|---|
Former Name | ROBIN JEAN HUMPHREYS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0027414) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027414) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN211098) | |
Enumeration Date | 2020-08-12 |
Last Update Date | 2022-08-11 |