| NPI | 1659858769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 8696) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD R213614) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R213614) | |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2023-04-18 |