| NPI | 1144475781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ME PA1812) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA053740) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2018-09-11 |