| NPI | 1689756454 |
|---|---|
| Former Name | SANDRA FULTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN00885) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN35082) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI NPP37390) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2018-08-27 |