| NPI | 1932343308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MI 4704235826) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MN 4704235826) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2021-07-07 |