| NPI | 1184128357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CA 692957) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 692957) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |