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 |