| NPI | 1548749682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN02106) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: RI RN63417) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: TX 926479) | |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2022-06-27 |