| NPI | 1669756755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN R155047-8) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 4287) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R26651) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61125257) | |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2021-12-02 |