| NPI | 1386219541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02871) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9480080) |
| 163W00000X Registered Nurse (Licence: RI RN70080) | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-11-18 |