NPI | 1275905036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.17501) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11002291) |
Enumeration Date | 2015-10-20 |
Last Update Date | 2024-03-19 |