| NPI | 1225451867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02127) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN174639) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9274969) | |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2019-12-30 |