| NPI | 1265058044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA01242) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI PA01242) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2025-11-14 |