NPI | 1154002665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN03815) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 12149) |
Enumeration Date | 2023-07-27 |
Last Update Date | 2023-10-24 |