| NPI | 1932954583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704358977) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MI 4704358977) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IN 28278320A) | |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2025-02-06 |