| NPI | 1447626999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MI 4704268557) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704268557) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MI 4704268557) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2024-03-20 |