| NPI | 1184131211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MA RN285291) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MA RN285291) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-03-17 |