| NPI | 1023306834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 32256259) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN R142450-4) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN R142450) | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2020-07-28 |