| NPI | 1053488379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37805) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: RI 34619) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02204) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2019-11-22 |