| NPI | 1568706307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14076-NP) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH APRN.CNP.14076) |
| Enumeration Date | 2012-11-17 |
| Last Update Date | 2022-03-16 |