| NPI | 1982973012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: NJ 26NO08551900) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NJ 26NO08551900) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |