NPI | 1518511021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: RI APRN02620) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI F06192202) |
Enumeration Date | 2019-08-01 |
Last Update Date | 2021-09-22 |