NPI | 1821730698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 476737) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH RN.476737) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.476737) | |
Enumeration Date | 2022-04-11 |
Last Update Date | 2025-02-24 |