NPI | 1831446863 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 20210443385) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OH COA 13241-NS) |
Enumeration Date | 2012-08-09 |
Last Update Date | 2024-02-08 |