NPI | 1659503506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2009006246) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN R 153275-5) |
Enumeration Date | 2009-08-11 |
Last Update Date | 2021-03-11 |