| NPI | 1619429321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN CNP4735) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN CNP4735) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MN CNP4735) | |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2023-09-26 |