| NPI | 1578000303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN03405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI RN47563) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01734) | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2023-03-13 |