| NPI | 1770070898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 12627) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9401451) |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2025-05-08 |