NPI | 1801361019 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN01921) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN01921) |
Enumeration Date | 2018-10-04 |
Last Update Date | 2022-02-15 |