| NPI | 1497938369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN CNP3703) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R073412-7) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2017-06-30 |