| NPI | 1609264324 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 486525-1)  | 
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 486525-1)  | 
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: NY 486525-1)  | |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY 486525-1)  | |
| 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: NY 486525-1)  | |
| Enumeration Date | 2015-01-05 | 
| Last Update Date | 2015-01-05 |