| NPI | 1376182998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 194404-30) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WI 194404-30) |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |