NPI | 1669224523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA01710) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical |
Enumeration Date | 2024-04-03 |
Last Update Date | 2024-08-01 |