| NPI | 1619393048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02443) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN52485) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2020-09-09 |