NPI | 1851934384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MS 856484) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 856484) |
Enumeration Date | 2019-10-28 |
Last Update Date | 2024-03-13 |