| NPI | 1083650204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: ME RN65159) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2023-12-21 |