| NPI | 1689034324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704252379) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704252379) |
| 363L00000X Nurse Practitioner (Licence: MI 4704252379) | |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2025-06-10 |