NPI | 1902002587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0029790) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 332236) |
Enumeration Date | 2007-06-21 |
Last Update Date | 2022-10-18 |