| NPI | 1235006248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704318922nsa2606r) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704318922) |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2026-03-20 |