| NPI | 1558379974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN R 141902-7) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN R141902-7) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-08-04 |