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 |