| NPI | 1578143947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA01435) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2021-04-10 |
| Last Update Date | 2022-05-04 |