| NPI | 1023075975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R26553) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN NP1338690) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MN 2010011783) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MT NUR-APRN-LIC-153741) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-06-12 |