| NPI | 1821415225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02604) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN41471) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN01489) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2264605) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN01489) | |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2021-03-09 |