| NPI | 1457947814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN03492) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN54799) |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2024-03-12 |