NPI | 1962046094 |
---|---|
Other Name | N/A N/A |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MA 2334640) |
Enumeration Date | 2019-10-31 |
Last Update Date | 2019-10-31 |