| NPI | 1033364245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 2012006859) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 2008000923) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 2008004394) | |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2021-05-03 |