| NPI | 1518923739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: NM R46628) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: NM R46628) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-07-08 |