NPI | 1417600826 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: OH RN.522087) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704359698) |
Enumeration Date | 2022-01-27 |
Last Update Date | 2024-04-24 |