| NPI | 1396800520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: RI PA00489) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 029700) |
| 363AM0700X Physician Assistant, Medical (Licence: FL 9116904) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2026-03-05 |