| NPI | 1598347601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MI 4704314564) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 925372579) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2021-10-27 |