| NPI | 1700247772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704248431) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704248431) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 704248431) | |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2024-06-14 |