| NPI | 1639593361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN9426293) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MI 4704264493) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2021-08-16 |