NPI | 1366292443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704264735) |
Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MI 4704264735) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: MI 4704264735) | |
Enumeration Date | 2024-03-25 |
Last Update Date | 2024-03-25 |