| NPI | 1033614524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA01373) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA6867) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2024-02-25 |