NPI | 1992947220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0034455) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH 330155) |
Enumeration Date | 2009-04-01 |
Last Update Date | 2023-09-18 |