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, Psych/Mental Health (Licence: RI aprn00977) | |
Enumeration Date | 2014-08-18 |
Last Update Date | 2020-01-09 |