| NPI | 1205499464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 10557) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN 222503-2) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2025-05-23 |