| NPI | 1922776897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA01394) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: HI AMD-1238) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2025-08-19 |