| NPI | 1972687234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN 2995) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: MN R 152832-9) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MN 2995) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2021-09-07 |