| NPI | 1346341971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: UT 1890474405) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: UT 1890478900) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |