| NPI | 1174965974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN00342) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI RN50564) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2020-10-19 |