| NPI | 1437733078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA100564) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: RI PA01401) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2024-11-12 |