| NPI | 1023536232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: RI APRN02842) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 12.007212) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2021-11-08 |