| NPI | 1265671614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS R856467) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MS R85647) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MS R856467) | |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-02-09 |