NPI | 1336442540 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN03483) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN02368) |
363L00000X Nurse Practitioner (Licence: CT 004518) | |
Enumeration Date | 2010-12-09 |
Last Update Date | 2024-10-23 |