| NPI | 1427159854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R100511-4) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R100511-4) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN R100511-4) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2021-08-17 |