| NPI | 1619510989 |
|---|---|
| Former Name | JANET LEE NEAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.025836) |
| Enumeration Date | 2019-10-19 |
| Last Update Date | 2019-10-31 |