| NPI | 1851709901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01110) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI Rn50953) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN03679) | |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2024-08-19 |