| NPI | 1760777031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN R 203852-0) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: ND R33035) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R33035) | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2014-03-25 |