| 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 |