| NPI | 1104311166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.489396) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.489396) |
| 164W00000X Licensed Practical Nurse (Licence: OH 163159) | |
| 164W00000X Licensed Practical Nurse (Licence: OH LPN.163159.MEDS-IV) | |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2021-04-19 |