| NPI | 1740748508 |
|---|---|
| Former Name | ERICA MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN.321015) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |