| NPI | 1669810974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN01299) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2286703) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: RI RN50761) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN/NP2286073) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI CAPRN01299) | |
| Enumeration Date | 2013-06-08 |
| Last Update Date | 2018-12-11 |