| NPI | 1114359197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704269307) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 830302) |
| 163WE0003X Registered Nurse, Emergency (Licence: MI 4704269307) | |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2022-09-15 |