NPI | 1770509762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH COA.05175-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN246144) |
363L00000X Nurse Practitioner (Licence: KY 1092827) | |
Enumeration Date | 2006-07-14 |
Last Update Date | 2016-01-25 |