NPI | 1114364668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.14280) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14280-NP) |
Enumeration Date | 2013-05-23 |
Last Update Date | 2023-10-20 |