NPI | 1073284600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0033201) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.453166) |
Enumeration Date | 2021-09-23 |
Last Update Date | 2024-06-21 |