| NPI | 1316334303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse Administrator (Licence: MD R108058) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R108058) |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: MD R108058) | |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |