| NPI | 1144711656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1745) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PAN1807) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2021-06-03 |