| NPI | 1609756469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI APRN04714) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: RI APRN04714) |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-10-29 |