| NPI | 1326270505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02000) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9227314) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8517) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2021-09-10 |