NPI | 1649345778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.09006) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.09006) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.09006) | |
Enumeration Date | 2006-11-22 |
Last Update Date | 2025-10-07 |