| NPI | 1215316468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA2361) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 6058) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2023-11-17 |