| NPI | 1689753741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 2011005984) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1648089) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2019-07-12 |