| NPI | 1619516440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: OH RN.489573) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 172866) |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2021-07-08 |