| 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 |