| NPI | 1700135316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN00474) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI NPP37835) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN262186) | |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2024-03-08 |