| NPI | 1346664794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 2206) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 103067-1) |
| 163W00000X Registered Nurse (Licence: IA 143369) | |
| 163WC0400X Registered Nurse, Case Management (Licence: MN 00145683) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R 103067-1) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H143369) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MN CNP2206) | |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2023-06-07 |