NPI | 1083096432 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI APRN02587) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 403452) |
363LF0000X Nurse Practitioner, Family (Licence: RI APRN00690) | |
Enumeration Date | 2015-06-22 |
Last Update Date | 2024-08-14 |