| NPI | 1114670114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R239775) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MD R239775) |
| 163WC0400X Registered Nurse, Case Management (Licence: MD R239775) | |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2023-09-07 |