| NPI | 1841314077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 3685) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN R127204-4) |
| 282N00000X General Acute Care Hospital (Licence: OR 200650185NP) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2024-11-25 |