| NPI | 1982945036 |
|---|---|
| Former Name | ADRIENNE BONVINI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VT 055.0031233) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA4573) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2020-09-17 |