| NPI | 1013457381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MN CNP5041) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN CNP5041) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2023-12-28 |