| NPI | 1598053522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 139175) |
| Additional Taxonomies | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: MA 139175) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |