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 |