| NPI | 1144633611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ME PA2147) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NH 1022) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2023-09-18 |