NPI | 1982832705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024186851) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN.128419-IV) |
Enumeration Date | 2009-07-01 |
Last Update Date | 2023-04-27 |