NPI | 1043525629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.019390) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH RN348898) |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019390) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.019390) | |
Enumeration Date | 2010-08-08 |
Last Update Date | 2022-01-04 |