| NPI | 1255825691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 488537) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH 488537) |
| 164W00000X Licensed Practical Nurse (Licence: OH 161537) | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2022-11-09 |