| NPI | 1285208793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R211296) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MD R211296) |
| 163WC0400X Registered Nurse, Case Management (Licence: MD R211296) | |
| 163WC1500X Registered Nurse, Community Health (Licence: MD R211296) | |
| 163WH0200X Registered Nurse, Home Health (Licence: MD R211296) | |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2021-05-19 |