| NPI | 1952618563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP1851) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R100628-1) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 1851) | |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2023-08-23 |