| NPI | 1629515689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN.1654935) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NM RN-75631) |
| 163W00000X Registered Nurse (Licence: NM RN-75631) | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CO RN.1654935) | |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2019-06-06 |