NPI | 1730671405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 023025) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 435143) |
Enumeration Date | 2018-05-30 |
Last Update Date | 2018-12-06 |