NPI | 1902041395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 020975) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 327159) |
363LF0000X Nurse Practitioner, Family (Licence: OH aprn.cnp.020975) | |
Enumeration Date | 2008-12-13 |
Last Update Date | 2022-03-01 |