NPI | 1427824952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.0038819) |
Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: OH RN.444233) |
Enumeration Date | 2023-11-27 |
Last Update Date | 2025-03-20 |