NPI | 1881064004 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH APRN.CNP.17953) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRNCNP17953) |
Enumeration Date | 2015-09-30 |
Last Update Date | 2024-09-23 |