| NPI | 1114653714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA2518) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: NY 29181) |
| 363A00000X Physician Assistant | |
| 363A00000X Physician Assistant (Licence: NY 029181) | |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2023-08-23 |