| NPI | 1821465386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: RI APRN00773) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN00773) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 113353) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN00773) | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2023-03-20 |