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