NPI | 1104447192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 1666212) |
Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CO 1666212) |
Enumeration Date | 2020-04-30 |
Last Update Date | 2020-04-30 |