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 |