NPI | 1124767702 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704354268) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MI 4704354268) |
Enumeration Date | 2022-06-01 |
Last Update Date | 2025-10-01 |