| NPI | 1104511534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.543220) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2025-02-24 |