| NPI | 1427328574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MI 4704135700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704135700) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704135700) | |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |