| NPI | 1306619168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 429136-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 429136-01) |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2023-11-03 |