NPI | 1932725363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0027300) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.306863) |
Enumeration Date | 2020-06-22 |
Last Update Date | 2024-02-22 |