| NPI | 1407417116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA01352) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA7379) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2025-11-13 |