| NPI | 1699451013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: ND R40879) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: ND R40879) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: ND R40879) | |
| 163WC0400X Registered Nurse, Case Management (Licence: ND R40879) | |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |