| NPI | 1992029524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MI 4704401075) |
| Additional Taxonomies | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: NY 22 544400) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 401478) | |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2025-08-16 |