| NPI | 1346790748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP9016) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704302184) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9016) | |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2024-08-28 |