| NPI | 1013388057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH COA 18544) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 347.438) |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: OH RN 347.438) | |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2016-05-27 |