| NPI | 1598345860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704372352) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704372352) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2025-05-14 |