NPI | 1508316142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.020068) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH RN.371434) |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020068) | |
Enumeration Date | 2016-10-06 |
Last Update Date | 2023-08-03 |