| NPI | 1083881528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI CPA00825) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA4410) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2022-07-19 |