| NPI | 1093096513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN00234) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: RI NP36979) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2019-10-08 |