| NPI | 1528368354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA00586) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA4077) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2025-10-09 |