| NPI | 1083347496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R41881) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN R2144317) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: ND R41881) | |
| Enumeration Date | 2022-07-04 |
| Last Update Date | 2022-08-26 |