| NPI | 1477363026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704242044) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MI 4704242044) | |
| 163WC1500X Registered Nurse, Community Health (Licence: MI 4704242044) | |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-01-07 |