| NPI | 1770881443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CO 1622026) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: CO 1622026) |
| 163WH0200X Registered Nurse, Home Health (Licence: CO 1622026) | |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2016-09-20 |