NPI | 1215681523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0037636) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: OH RN.429737) |
Enumeration Date | 2022-02-06 |
Last Update Date | 2024-11-19 |