NPI | 1750863924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0035666) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH RN389722) |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH 389722) | |
Enumeration Date | 2018-09-04 |
Last Update Date | 2024-02-07 |