| NPI | 1477987535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: RI APRN03291) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CT 005476) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN2281550) | |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2023-10-25 |