NPI | 1588085997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH COA15846) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 379900) |
Enumeration Date | 2014-01-02 |
Last Update Date | 2019-06-24 |