| NPI | 1184096331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MI 2024030511) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 2024030511) |
| 363L00000X Nurse Practitioner (Licence: MI 2024030511) | |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2025-10-16 |