| NPI | 1235674870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704187285) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MI 4704187285) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2022-01-13 |