NPI | 1801047626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN01098) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI NPP37560) |
Enumeration Date | 2008-10-10 |
Last Update Date | 2020-06-05 |