| NPI | 1285871277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN NP1682) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN R1676611) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61135817) | |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2022-02-18 |