NPI | 1215200282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN CNP3318) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN F1211167) |
Enumeration Date | 2012-02-21 |
Last Update Date | 2021-12-17 |