NPI | 1871847558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0033029) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 363810) |
163WH0200X Registered Nurse, Home Health (Licence: OH 363810) | |
Enumeration Date | 2012-11-02 |
Last Update Date | 2024-11-05 |