| NPI | 1356786016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 272654) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NC 272654) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704204389) | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2022-07-21 |