| NPI | 1407945132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704158480) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN R-2129098-6) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MN R-2129098-6) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MI 4704158480) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2016-07-25 |