NPI | 1538905104 |
---|---|
Former Name | MISTY BOWLBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OH APRN.CNP.0036892) |
Enumeration Date | 2024-07-03 |
Last Update Date | 2024-07-03 |