| NPI | 1477808210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 2255) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R173383-9) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN R 173383-9) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2023-02-02 |