| NPI | 1366292443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704264735) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MI 4704264735) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MI 4704264735) | |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |