| NPI | 1578127288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 7825) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND F06192940) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 2021208910) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: ND R41081) | |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2022-09-22 |