NPI | 1801038187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN01368) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI NPP37205) |
Enumeration Date | 2009-04-01 |
Last Update Date | 2019-02-12 |