| NPI | 1083096432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02587) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00690) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403452) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15137100) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2276358) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2025-02-24 |