| NPI | 1932162302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704136595) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 6801081022) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2010-04-30 |