| NPI | 1063992535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 6099) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 6099) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2025-04-09 |