| NPI | 1538493374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 12257) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 082484) |
| Enumeration Date | 2009-09-27 |
| Last Update Date | 2024-10-30 |