| NPI | 1700531704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WV 76774) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 76774) |
| 163WC1500X Registered Nurse, Community Health (Licence: WV 76774) | |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-03-10 |