| NPI | 1932673951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 6868) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 6868) |
| 363L00000X Nurse Practitioner (Licence: MN 6868) | |
| 163W00000X Registered Nurse (Licence: MN 1999330) | |
| Enumeration Date | 2019-01-12 |
| Last Update Date | 2023-11-24 |