| NPI | 1770369621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.500688) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH 500688) |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |