| NPI | 1174610109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.260975) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: OH RN-260975) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2018-04-10 |