NPI | 1275027955 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 12068) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2472747) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-06-18 |
Last Update Date | 2024-09-11 |