| NPI | 1932916665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: DC 500022010) |
| Additional Taxonomies | 163WX0003X Registered Nurse Obstetric, Inpatient (Licence: AZ 241300) |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-19 |