| NPI | 1689846222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN498858) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH pn125122) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2022-01-27 |