| NPI | 1902256316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 7579) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MN CNM 0301) |
| 367A00000X Advanced Practice Midwife (Licence: MN 0301) | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2022-08-04 |