| NPI | 1609393735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704327956) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.021452) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704327956) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.021452) | |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2024-12-12 |