| NPI | 1841899150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R-173153) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN R-173153) |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |