| NPI | 1306389754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: RI RN54145) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: RI RN54145) |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: RI RN54145) | |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |