| NPI | 1063292134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 11272) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2466689) |
| 163W00000X Registered Nurse (Licence: ND R46167) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R46167) | |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2024-02-14 |