| NPI | 1033662457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.483674) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.158486.MEDS-IV) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2021-05-24 |