| NPI | 1912619255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL J BEUKEMA Owner Of Entity 507-405-0543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2023-05-31 |