| NPI | 1306221460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 4015) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R219786-9) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2024-07-18 |