| NPI | 1316416712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN01906) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: MA RN2268493) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2025-05-06 |