| NPI | 1689201980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN04737) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN02304) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2026-01-02 |