| NPI | 1861991184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN03052) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN56396) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: RI RN56396) | |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2022-03-28 |