| NPI | 1396766457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 000841) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: RI PA01325) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2024-04-23 |