| NPI | 1972696003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI APRN00806) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: RI RINPP29880) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-12-22 |