| NPI | 1902413677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.412510) |
| Additional Taxonomies | 207RA0401X Internal Medicine Addiction Medicine (Licence: OH RN412520) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2025-05-29 |