| NPI | 1356433429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9444692) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704163754) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2022-08-05 |