NPI | 1790320372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 7058) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN R-232337-4) |
Enumeration Date | 2019-11-07 |
Last Update Date | 2024-04-17 |