| NPI | 1366685356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 4392) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN R186976-1) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 4392) | |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2014-06-23 |