| NPI | 1437264892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: RI PA01299) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: RI PA01157) |
| 363A00000X Physician Assistant (Licence: NH 0230) | |
| 363A00000X Physician Assistant (Licence: MA PA854) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2022-09-20 |