NPI | 1366914764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023778) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012150) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.023778) | |
Enumeration Date | 2018-12-23 |
Last Update Date | 2023-05-23 |