| NPI | 1821773961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: RI PA01817) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA PA9518) |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2026-06-12 |