| NPI | 1669961330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WI 243961-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 243961-30) |
| 164W00000X Licensed Practical Nurse (Licence: WI 322189-31) | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2024-05-02 |