| NPI | 1356740112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: RI NPP37908) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2293743) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: RI APRN00977) | |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2020-01-09 |