| NPI | 1881615730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 2340) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: RI PA00293) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2010-05-19 |