| NPI | 1154781847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704318754) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MI 4704318754) |
| 363L00000X Nurse Practitioner (Licence: MI 4704318754) | |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2021-08-05 |