| NPI | 1881897064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN 2597072) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: FL RN 2597072) |
| 163WR0400X Registered Nurse, Rehabilitation (Licence: FL RN 2597072) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-08 |