| NPI | 1104377365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02640) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN36091) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2021-09-13 |