| NPI | 1619398245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN01995) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023001837) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP124919) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 13515-33) | |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2025-12-01 |