| NPI | 1952876575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MN 2201344) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MN 2201344) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |