| NPI | 1497157572 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02129) | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI NPP37899) | 
| Enumeration Date | 2014-09-21 | 
| Last Update Date | 2023-11-27 |