NPI | 1396247938 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.024487) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.357446) |
Enumeration Date | 2018-02-28 |
Last Update Date | 2024-10-21 |