| NPI | 1487191367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN01733) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2306249) |
| 163W00000X Registered Nurse (Licence: MA RN2306249) | |
| 163W00000X Registered Nurse (Licence: RI RN56441) | |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-12-12 |