| NPI | 1033774062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ME PA2459) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL 9112181) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2023-07-18 |