NPI | 1235284431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI NPP37125) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: RI RN32050) |
363L00000X Nurse Practitioner (Licence: RI NP37125) | |
Enumeration Date | 2007-01-25 |
Last Update Date | 2012-11-02 |