| NPI | 1699354621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704319632) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704319632) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2023-07-14 |