| NPI | 1275706244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA 2365) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: RI PA01011) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2026-04-24 |