| NPI | 1932522877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WI 195810) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 195810-30) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2020-11-19 |