NPI | 1861381840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 7196) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: RI PA01807) |
Enumeration Date | 2025-07-02 |
Last Update Date | 2025-08-26 |