| NPI | 1639431778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP-02421) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704286422) |
| 163W00000X Registered Nurse (Licence: MI 4704286422) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2021-09-21 |