| NPI | 1982954160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: RI APRN02787) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NJ 26NJ01040900) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 5144) | |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2025-07-16 |