| NPI | 1962647065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: RI PA01095) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA PA4183) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2026-03-10 |