| NPI | 1427631795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0033404) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.444017) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.444017) | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2023-11-03 |