| NPI | 1407895048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: RI APRN00198) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 242411) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: RI 37233) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2021-02-01 |