| NPI | 1124046511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: RI APRN03720) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA NP 12462) |
| 363LF0000X Nurse Practitioner Family (Licence: RI APRN00720) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-08-10 |