| NPI | 1497789069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN00315) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: RI PS00582) |
| 363L00000X Nurse Practitioner (Licence: RI PS00582) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-01-27 |