| NPI | 1912663097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse Administrator (Licence: FL RN9202868) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: FL RN9202868) |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: FL RN9202868) | |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2021-11-12 |