| NPI | 1528121670 |
|---|---|
| Former Name | PATRICIA ANN TANNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: OH ANCC #348954-02) |
| Additional Taxonomies | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: OH ANCC #30373371-01) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2014-01-29 |