| NPI | 1851866446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA01648) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA6784) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2024-03-13 |