| NPI | 1093373037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704259350) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 19133140548) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704259350) | |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2024-11-19 |