| NPI | 1396838942 |
|---|---|
| Former Name | JANET CAROL ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH 091475) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH NS-03256) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |