| NPI | 1275064065 |
|---|---|
| Former Name | VANITY WIGGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 181418) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.0161339) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2022-09-23 |