| NPI | 1669603288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 2948) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 141575-9) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2024-01-12 |