| NPI | 1174114219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.494849) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.171534.MEDS-IV) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2023-10-30 |