NPI | 1316452253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.026361) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RP277614) |
363LF0000X Nurse Practitioner, Family (Licence: OH CNP.026361) | |
Enumeration Date | 2017-12-13 |
Last Update Date | 2024-09-15 |