| NPI | 1730595893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: RI APRN03127) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: RI APRN00972) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2022-07-07 |