| NPI | 1639540826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: RI APRN01546) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: RI APRN01546) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: RI APRN01546) | |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2022-06-08 |