| NPI | 1982168944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024125) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN273181) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2024-08-22 |