| NPI | 1750054086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: RI CAPRN04068) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN69822) |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2024-05-30 |