| NPI | 1760858211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN03221) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN48817) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2023-07-12 |