| NPI | 1245891167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 2100) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: RI PA01156) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2023-10-31 |