| NPI | 1932784105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2024000884) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704313495) |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2024-02-02 |