| NPI | 1780914515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: KY 1141759) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27062998A) |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2016-01-05 |