NPI | 1821497330 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704285956) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1628095) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704285956) | |
Enumeration Date | 2014-08-20 |
Last Update Date | 2018-12-13 |