| NPI | 1861284515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH 504169) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28274042C) |
| 163W00000X Registered Nurse (Licence: OH 504169) | |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-07-21 |