| NPI | 1215571930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH 205526) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: OH 772869) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2023-01-09 |