NPI | 1275509408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA00823) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0003694) |
Enumeration Date | 2006-02-27 |
Last Update Date | 2016-06-02 |