| NPI | 1952618720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: RI NPP37781) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: RI NPP37781) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2016-08-11 |