| NPI | 1205902624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 843451) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 260901) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2023-07-30 |