| NPI | 1184214132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 9435) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-145950) |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: AL 2020013314) | |
| 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric (Licence: FL APRN11010041) | |
| Enumeration Date | 2021-01-24 |
| Last Update Date | 2023-06-16 |