| NPI | 1013245240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1135) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA3881) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2023-11-15 |