| NPI | 1508385865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MN 1270729) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MN 12965) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |