NPI | 1235783390 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN-021590) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN-02159) |
363LF0000X Nurse Practitioner, Family (Licence: OH F0316642) | |
Enumeration Date | 2019-07-27 |
Last Update Date | 2024-05-17 |