| NPI | 1053948398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA1969) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2023-02-08 |