| NPI | 1770884421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA00565) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0004772) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2013-06-13 |