| NPI | 1417512302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704353173) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209031277) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209031277) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 4704353173) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704353173) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0033763) | |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2025-11-04 |