| NPI | 1083283196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN03021) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN35031) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN227184) | |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2023-03-28 |