| NPI | 1013744937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MN 12192) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R35215) |
| 163W00000X Registered Nurse (Licence: MN 198792-8) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ND 201280) | |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-12-13 |