| NPI | 1912497660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 567098) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 567098) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |