NPI | 1497208219 |
---|---|
Former Name | MARY BRIDGET CRERAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0027911) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.366527) |
Enumeration Date | 2016-07-28 |
Last Update Date | 2021-12-20 |