NPI | 1851713044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 15290) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH COA 15290-NP) |
Enumeration Date | 2014-01-08 |
Last Update Date | 2022-08-11 |