NPI | 1689161002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 022585) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 022585) |
Enumeration Date | 2018-04-20 |
Last Update Date | 2024-03-08 |