| NPI | 1841330222 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MI 4704133917) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MI 4704133917) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |