NPI | 1962725812 |
---|---|
Former Name | MARY JO MEAGHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.401769) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH RN.401769) |
164W00000X Licensed Practical Nurse (Licence: OH PN.132843-M-IV) | |
Enumeration Date | 2010-03-07 |
Last Update Date | 2024-07-22 |