NPI | 1982141990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.023116) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.434410) |
Enumeration Date | 2017-01-27 |
Last Update Date | 2023-08-29 |