| NPI | 1871141143 |
|---|---|
| Former Name | MALINDA LARSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 6843) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 6843) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2025-06-13 |