| NPI | 1023441565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MI 4704247330) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704247330) |
| 163W00000X Registered Nurse (Licence: MI 4704247330) | |
| 363L00000X Nurse Practitioner (Licence: NC 5009462) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704247330) | |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2018-03-17 |