| NPI | 1134951700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: RI APRN04628) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2293881) |
| 163W00000X Registered Nurse (Licence: RI RN79538) | |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2025-09-25 |