| NPI | 1033933064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 12471) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MN 532) |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2025-09-23 |