| NPI | 1679053821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023408) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.176328) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.179912) | |
| 163W00000X Registered Nurse (Licence: OH RN.376287) | |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2023-08-03 |