| NPI | 1750957478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: RI PA01331) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: RI CPA01331) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2023-05-25 |