NPI | 1225610678 |
---|---|
Former Name | AMBER WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.457791) |
Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.457791) |
Enumeration Date | 2021-04-26 |
Last Update Date | 2021-04-26 |