| NPI | 1659930923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: PR 30957) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: PR 30957) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |