| NPI | 1538492525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: RI APRN01699) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: TX 768894) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2023-07-13 |