NPI | 1225577638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.505441) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN133990) |
Enumeration Date | 2017-02-17 |
Last Update Date | 2023-12-13 |