| NPI | 1255509212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN01213) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: RI CAPRN01213) |
| 208000000X Pediatrics (Licence: RI APRN01213) | |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2024-11-25 |