| NPI | 1073251039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN02977) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: RI APRN02977) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02977) | |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-05-20 |