| NPI | 1558148478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MD R186196) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R186196) |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |