| NPI | 1760047120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH 520456) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH 171024) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2023-06-28 |