| NPI | 1437824026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA01773) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00635600) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2025-07-18 |