| NPI | 1073235859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704301246NSA220SA) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 101YM0800X Counselor, Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704263386) | |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: MI 4704263386) | |
| 225200000X Physical Therapy Assistant | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: MI 4704263386) | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2026-04-06 |