| NPI | 1184163297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1821) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VT 055.0031335) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2023-09-19 |