| NPI | 1073745519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 582339) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 582339) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 582339) | |
| 163WR0400X Registered Nurse, Rehabilitation (Licence: NY 582339) | |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |