| NPI | 1669800322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN283731) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN01890) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN283731) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN01890) | |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2023-03-24 |