| NPI | 1891855391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02459) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 172073) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN02459) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 172073) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2023-08-21 |