NPI | 1407582125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0034194) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.356291) |
Enumeration Date | 2022-07-26 |
Last Update Date | 2023-06-27 |