| NPI | 1366769523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0000X Registered Nurse, Pain Management (Licence: OR 092000466RN) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OR 092000466RN) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |