| NPI | 1871552323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN R144789-9) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 1215) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN R1447989) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2024-06-21 |