| NPI | 1407162464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI NPP37576) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: RI NPP37576) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2012-01-05 |