NPI | 1316168651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP0029859) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN122720) |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP0029859) | |
Enumeration Date | 2007-05-02 |
Last Update Date | 2023-09-04 |