| NPI | 1831795475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN03328) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2301482) |
| 163W00000X Registered Nurse (Licence: RI RN64647) | |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2023-04-01 |