| NPI | 1912087610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 8979) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MN R158216-1) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-05-11 |