| NPI | 1083806194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28132436A) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: IN 28113236A) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |