| NPI | 1053923987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH 508058) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 118292.MEDS) |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2022-06-07 |