| NPI | 1518435015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: RI PA01132) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA PA6980) |
| 363AM0700X Physician Assistant, Medical (Licence: CT 4943) | |
| 363AM0700X Physician Assistant, Medical (Licence: NY 031504) | |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2025-03-18 |