| NPI | 1578170320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704262501) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MI 20223095941) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95030962) | |
| 163W00000X Registered Nurse (Licence: MI 4704262501) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN11012784) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MN 12501) | |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2025-05-16 |