| NPI | 1093243891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN03752) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN55756) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2024-04-24 |