NPI | 1346865672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH cnp.0031103) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11007077) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11007077) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: OH CNP.0031103) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11007077) | |
Enumeration Date | 2020-06-12 |
Last Update Date | 2024-04-04 |