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 |