NPI | 1306098348 |
---|---|
Former Name | RENEE DIANE PENNINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH NP-10349) |
Enumeration Date | 2008-10-22 |
Last Update Date | 2024-02-16 |