| NPI | 1033954094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704370034) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 2024054529) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2026-04-16 |