| NPI | 1235808213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.156549.MEDS-IV) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH pn156549) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2025-11-03 |