| NPI | 1962442376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI NPP25474) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI 25474) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2011-02-04 |