| NPI | 1629593462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9402229) |
| Additional Taxonomies | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: FL RN9402229) |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: FL RN9402229) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: FL RN9402229) | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: FL RN9402229) | |
| 163WP2201X Registered Nurse Ambulatory Care (Licence: FL RN9402229) | |
| Enumeration Date | 2017-08-12 |
| Last Update Date | 2018-12-06 |