| NPI | 1033342399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NH 0738) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: RI PA00552) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2024-02-19 |