| NPI | 1992087605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704277367) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704277367) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704277367) | |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2023-12-19 |