NPI | 1073560272 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-06505) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA-664) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2023-09-07 |