| NPI | 1629473590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN03831) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN53371) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2023-11-09 |