| NPI | 1659597409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OR 200141933RN) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: ID N-30382) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |