| NPI | 1619350030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN00730) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI RN53193) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2022-03-17 |