| NPI | 1700683679 |
|---|---|
| Former Name | STEPHENI OSULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: IL 041453445) |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-03-26 |