| NPI | 1700101367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA01834) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC TL1517) |
| 363A00000X Physician Assistant (Licence: NY 017208) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2025-09-24 |