| NPI | 1619283835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 56564) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704277104) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-56564) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704277104) | |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2022-05-25 |