NPI | 1154669687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0034227) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN363557) |
Enumeration Date | 2013-01-17 |
Last Update Date | 2023-07-17 |