NPI | 1598041287 |
---|---|
Former Name | DEIDRE GILLESPIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0029532) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 303997) |
Enumeration Date | 2011-10-26 |
Last Update Date | 2024-01-01 |