| NPI | 1154057636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN03709) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.448551) |
| 163W00000X Registered Nurse (Licence: RI RN77142) | |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2023-07-14 |