| NPI | 1750936852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MA Rn2333503) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN2333503) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2021-05-20 |