| NPI | 1376507129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 1581434) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 1581434) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MN R1581434) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2017-01-20 |