| NPI | 1255767117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY 373063) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 373063) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 373063) | |
| 163WA2000X Registered Nurse, Administrator (Licence: NY 373063) | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: NY 373063) | |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |