NPI | 1588821573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 2280) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 2280) |
Enumeration Date | 2008-05-19 |
Last Update Date | 2025-08-13 |