| NPI | 1972134369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 10004) |
| Additional Taxonomies | 176B00000X Midwife (Licence: ND R45972) |
| 176B00000X Midwife (Licence: MN 422) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 0000) | |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2023-03-16 |