NPI | 1396393633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 6155301) |
Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 6155301) |
163WC1500X Registered Nurse, Community Health (Licence: NY 6155301) | |
Enumeration Date | 2019-08-29 |
Last Update Date | 2024-07-24 |