NPI | 1164991568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041319228) |
Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: IL 041319228) |
Enumeration Date | 2018-11-15 |
Last Update Date | 2018-11-15 |