NPI | 1356971824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH RN.382670) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OH RN.368487) |
Enumeration Date | 2020-01-23 |
Last Update Date | 2021-04-01 |