| NPI | 1780063628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN01925) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN254301) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN254301) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2020-03-17 |