| NPI | 1912414756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 2022091964) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704281857) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MI 4704281857) | |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2023-10-13 |