NPI | 1134422645 |
---|---|
Former Name | DEANNA WESTFALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.18911) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN274661) |
Enumeration Date | 2010-12-06 |
Last Update Date | 2020-02-18 |