| NPI | 1295781854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN00524) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI 37337) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-07-19 |