| NPI | 1356832059 |
|---|---|
| Former Name | ERICA KLEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WI 178432) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2019-07-17 |