| NPI | 1578170320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 20223095941) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704262501) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2023005961) | |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2023-06-14 |