| NPI | 1619661279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 10213) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN 1813144) |
| 363L00000X Nurse Practitioner (Licence: MN 10213) | |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-06 |