| NPI | 1952826026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: FL RN9644852) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2026-04-09 |