| NPI | 1306116405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: RI APRN01261) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI CNPP37488) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2021-03-05 |