| NPI | 1881725745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 9615-33) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN R 176124-1) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 9615-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 6852) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 6852) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2024-08-19 |