| NPI | 1356965594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02652) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 402655) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402655) | |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2023-05-07 |