| NPI | 1821648817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704352774) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.429993) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MI 4704352772) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 0036525) | |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2025-03-15 |