| NPI | 1982954160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN02787) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 5144) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01040900) | |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2021-11-12 |