| NPI | 1356723548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00712) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA CNP2281852) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02175) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2021-10-21 |