| NPI | 1720649247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704311142) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704311142) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2025-06-10 |