| NPI | 1780234377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND 200852) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: ND R32263) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 11822) | |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2024-11-21 |