| NPI | 1912566530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 10762) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MN 2455792) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN 2455792) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MN 2455792) | |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2023-10-11 |