| NPI | 1841634029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA00911) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 016451) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2016-12-21 |