| NPI | 1700312485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MI 4704357688) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703114466) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2024-04-03 |