| NPI | 1851956023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MD R166121) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: MD R166121) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD R166121) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R166121) | |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2026-07-09 |