| NPI | 1285194290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA01139) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA7007) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-08-22 |