| NPI | 1619607835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9116346) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: RI PA01758) |
| 363A00000X Physician Assistant (Licence: MA PA101443) | |
| Enumeration Date | 2022-06-11 |
| Last Update Date | 2025-02-26 |