| NPI | 1104830215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.07147) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.258851) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.07147-NP) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-05-22 |