| NPI | 1851649651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WI 132220-30) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 13222030) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-11-29 |