NPI | 1669995544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.022357) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH 416083) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 7967) | |
Enumeration Date | 2017-07-21 |
Last Update Date | 2021-07-25 |