NPI | 1407182926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.10896) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.10896) |
363L00000X Nurse Practitioner (Licence: CA 95001616) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA10896) | |
Enumeration Date | 2009-10-19 |
Last Update Date | 2025-04-05 |