| NPI | 1689159360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 6206) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 6206) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 6206) | |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2024-06-07 |