NPI | 1215004809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ME PA1488) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA1488) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2025-04-15 |