| NPI | 1437809332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704406562) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-180664) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2023-10-05 |