| NPI | 1568878627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: RI APRN02236) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: MA RN2297622) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2020-09-17 |