| NPI | 1922486729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704274016) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704274016) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2023-09-25 |