| NPI | 1548334253 |
|---|---|
| Former Name | DELORES MARIE POITIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: CA 205315) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 2093) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |