| NPI | 1598927246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 6448) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN 2469528) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704221503) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704221503) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2020-02-09 |