| NPI | 1568046845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN04467) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN63745) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2025-12-01 |