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