| NPI | 1043824501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R33717) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND R33717) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2023-01-03 |