| NPI | 1164998431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704310770) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704310770) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MI 4704310770) | |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2025-10-01 |