| NPI | 1124046511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN03720) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00720) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2026-01-02 |