| NPI | 1841563749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: RI PA00854) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: IL 085.004229) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2017-02-10 |