| NPI | 1134524242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 2825) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R165333-3) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2025-04-08 |