| NPI | 1689946170 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: RI APRN00464)  | 
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI NPP34143)  | 
| Enumeration Date | 2012-01-31 | 
| Last Update Date | 2019-11-21 |