| NPI | 1306462502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: RI PA01233) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2023-03-30 |