| NPI | 1750968319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 10548) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NC NVHOG600) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NC NVHOG600) | |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2023-08-20 |