| NPI | 1598107260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CT 003248) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: RI pa00707) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2021-12-17 |