| NPI | 1528621059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: OH RN.472032) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 170893) |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2022-11-30 |