NPI | 1528236650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP 17420) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN286523) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN-CNP-17420) | |
Enumeration Date | 2008-02-12 |
Last Update Date | 2025-01-05 |