| NPI | 1447751383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 8081) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2023-08-23 |