NPI | 1083318141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MD R175105) |
Additional Taxonomies | 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: MD R175105) |
Enumeration Date | 2023-03-30 |
Last Update Date | 2023-03-30 |