| NPI | 1578288320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 9585) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2391377) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-10 |