NPI | 1043610413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704285791) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MI 4704285791) |
163W00000X Registered Nurse (Licence: MI 4704285791) | |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MI 4704285791) | |
Enumeration Date | 2014-09-03 |
Last Update Date | 2023-02-07 |