NPI | 1235416603 |
---|---|
Former Name | JOANNE RENEE CAPESTRAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP12840) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 12840-NP) |
Enumeration Date | 2011-11-13 |
Last Update Date | 2024-06-19 |