NPI | 1801310396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.021288) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021288) |
363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.021288) | |
Enumeration Date | 2017-07-27 |
Last Update Date | 2023-05-04 |