| NPI | 1497628929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN04906) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 16598) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2349975) | |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2026-02-24 |