| NPI | 1609582790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI RN57555) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI 2023209163) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2024-09-13 |