| NPI | 1134649049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: AZ RN134483) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: AZ RN134483) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ RN134483) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2025-11-17 |