| NPI | 1477894988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA01687) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 0932) |
| 363A00000X Physician Assistant (Licence: MA PA4600) | |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2024-04-22 |