| NPI | 1295365591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 9457) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: MN 2403236) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN 2403236) | |
| Enumeration Date | 2020-01-25 |
| Last Update Date | 2025-10-22 |