| NPI | 1376821538 |
|---|---|
| Former Name | DEISA DELENA HUMBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.368133) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.368133) |
| 164W00000X Licensed Practical Nurse (Licence: OH PN.116865-MEDS) | |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2024-03-19 |