| NPI | 1003588708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.533114) |
| Additional Taxonomies | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: OH RN.533114) |
| 164W00000X Licensed Practical Nurse (Licence: OH LPN.175940.MEDS-IV) | |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2024-03-13 |