| NPI | 1689423501 |
|---|---|
| Former Name | PEGGY HELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: IL 041.462209) |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |