| NPI | 1235419599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704227515) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: MI 4704227515) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2024-08-26 |