NPI | 1003393695 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704240600) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704240600) |
Enumeration Date | 2018-07-26 |
Last Update Date | 2023-11-16 |