| NPI | 1891405916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: OH 509821) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 509821) |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: OH 509821) | |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2022-11-29 |