| NPI | 1417227414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT E52621) |
| Additional Taxonomies | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: CT E52621) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |