| NPI | 1447618871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9414859) |
| Additional Taxonomies | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: FL RN9414859) |
| Enumeration Date | 2016-01-30 |
| Last Update Date | 2016-02-03 |