| NPI | 1174793525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NC 200126) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 200126) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NC 200126) | |
| Enumeration Date | 2008-03-01 |
| Last Update Date | 2019-11-26 |