NPI | 1932797198 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH LPN.177135.MEDS) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.184860) |
164W00000X Licensed Practical Nurse (Licence: PA PN284188) | |
Enumeration Date | 2021-01-04 |
Last Update Date | 2023-06-21 |