| NPI | 1700323748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11009178) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI F01170935) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704269910) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0101454-C-NP) | |
| Enumeration Date | 2017-01-29 |
| Last Update Date | 2024-03-29 |