| NPI | 1528255247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704152248) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401010344) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2017-12-21 |