NPI | 1568939742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH OH) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH 414371) |
Enumeration Date | 2018-10-25 |
Last Update Date | 2023-06-02 |