| NPI | 1184675449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 0349) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA AP2127) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2017-02-24 |