| NPI | 1053786301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: VA AN0085616) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 001219401) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |