| NPI | 1093464562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA01657) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 029127) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2025-07-09 |