| NPI | 1336640903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704297291NSA250P3) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MI 4704297291) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2026-07-19 |