NPI | 1114564242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.026365) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH 452248) |
Enumeration Date | 2019-12-09 |
Last Update Date | 2023-11-06 |