| NPI | 1134849334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: RI APRN04593) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: RI APRN03235) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2025-07-11 |