| NPI | 1083160089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1725) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C06158) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2021-05-26 |