NPI | 1508477431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH Rf970143) |
Additional Taxonomies | 251E00000X Home Health |
Enumeration Date | 2020-08-13 |
Last Update Date | 2022-10-21 |