| NPI | 1386435139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN04746) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: RI 80652) |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-08-12 |