| NPI | 1770720021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: NM R61863) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NM R61863) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |