| NPI | 1912514076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02504) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: RI RN54641) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-11-10 |